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Discover Dental Surgery Summary
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The use of anesthetic agents is dictated in large part by the nature of the surgical procedure. In some cases there is a requirement for the patient to be fully 'asleep' in order to avoid discomfort and interference with the procedure, whereas in other cases, local or regional anesthesia (e.g., pudenal block in pregnancy, dental surgery) may suffice and the patient may remain awake during the procedure. Nerve block involves the injection of a local anesthetic proximal to discrete peripheral nerves to produce large areas of anesthesia. Injection directly into the nerve is avoided to prevent pain. Examples of nerve block include (1) trigeminal for dental surgery (2) brachial for surgical procedures in the shoulder (3) cervical plexus for neck surgery and (4) sciatic and femoral for surgery distal to the knee. Local anesthetics used to produce nerve block can be divided into three classes based on duration of action (1) short (20-30min procaine) (2) intermediate (1-2h lidocaine,...